Indian Health Service Emergency Claims Parity Act

Summary

Indian Health Service Emergency Claims Parity Act This bill extends from 72 hours to 15 days the time period to notify the Purchased/Referred Care (PRC) program of emergency medical care received from a non-Indian Health Service (IHS) medical provider or at a non-IHS medical facility. This bill does not apply to individuals who are elderly or disabled, who continue to have a 30-day notification requirement for emergency services. The IHS provides medical and dental services directly to American Indian and Alaska Native patients whenever possible. The PRC program pays for medical or dental care that is provided away from an IHS or tribal health care facility. The PRC program must be notified of requests for authorization of payment for health care services from a non-IHS provider. Currently in emergency cases, the patient, an individual on behalf of the patient, or the medical care provider must, within 72 hours after the beginning of treatment for the condition or after admission to a health care facility, notify a PRC authorizing official of the need for the emergency medical care. This bill instead allows the patient, other individual, or provider to notify PRC within 15 days of the treatment or admission.

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Timeline

1. 13 March 2025

   Introduced

   Read twice and referred to the Committee on Indian Affairs.

   Source: IntroReferral

2. 13 March 2025

   Introduced

   Introduced in Senate

   Source: IntroReferral

3. 4 February 2026

   Committee

   Committee on Indian Affairs. Hearings held.

   Source: Committee

4. 5 August 2026

   Reported

   Committee on Indian Affairs. Ordered to be reported without amendment favorably.

   Source: Committee

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

2 official files

• Introduced in Senate

  Introduced in Senate · EN · 13 March 2025

  DownloadOpen at official source

• Introduced in Senate

  summary · EN · 13 March 2025

  Open at official source

Sponsors

• Sen. Rounds, Mike [R-SD] · R · Sponsor
• Sen. Cortez Masto, Catherine [D-NV] · D · Sponsor
• · slia00 · Other

Related records

• related to ← Indian Health Service Emergency Claims Parity Act